N-of-1 policymaking—tragedy, trade-offs, and the demise of morcellation

L Rosenbaum - New England Journal of Medicine, 2016 - Mass Medical Soc
Anecdotes like those about women who receive a diagnosis of late-stage leiomyosarcoma
after morcellation of fibroids can skew risk perception, leading to estimates of outcomes' …

The importance of predefined rules and prespecified statistical analyses: do not abandon significance

JPA Ioannidis - Jama, 2019 - jamanetwork.com
For decades, statisticiansandclinicianshavedebatedthe meaning of statistical and clinical
significance. In general, mostjournalsremainmarriedtothefrequentist… to statistical testing …

Why the US Centers for Medicare and Medicaid Services (CMS) should have required a randomized trial of Foundation Medicine (F1CDx) before paying for it

V Prasad - Annals of Oncology, 2018 - annalsofoncology.org
On 30 November 2017, a collaborative action between the US Food and Drug
Administration (FDA) and the Centers for Medicare and Medicaid Services (CMS) …

Moving beyond floccinaucinihilipilification: enhancing the utility of systematic reviews

J Popay - Journal of Clinical Epidemiology, 2005 - jclinepi.com
In a forthcoming chapter in the proceedings of a seminar on the extension of systematic
reviews to diverse study designs, Petticrew and Egan comment that:''There is a widespread …

Cancer, concepts, cohorts and complexity: avoiding oversimplification of overdiagnosis

FC Detterbeck - Thorax, 2012 - thorax.bmj.com
OVERVIEW OF OVERDIAGNOSIS Extensive evidence indicates that overdiagnosis occurs
in many cancers3; although difficult to quantify, the proportion is substantial. Autopsy …

[PDF][PDF] What happens when the cost of cancer care becomes unsustainable

S Simoens, W van Harten, G Lopes, A Vulto… - Eur Oncol …, 2017 - lirias.kuleuven.be
Cancer places a heavy burden on healthcare systems. The cost of cancer drugs is
increasing, driven largely by the introduction of new, ever more innovative cancer …

Challenges in measuring the societal value of orphan drugs: insights from a Canadian stated preference survey

N Dragojlovic, S Rizzardo, N Bansback… - The Patient-Patient …, 2015 - Springer
Background Expensive drugs for rare diseases (ie orphan drugs) often do not meet
traditional cost-effectiveness criteria and thus put further strain on limited healthcare …

How should we value lives lost to cancer?

SD Ramsey - JNCI: Journal of the National Cancer Institute, 2008 - academic.oup.com
Scott D. Ramsey jnci. oxfordjournals. org JNCI| Editorials 1743 the treatment on survival,
value that period of survival, and then compare it with the cost of treatment. For example, in …

[PDF][PDF] Oncology reimbursement in the era of personalized medicine and big data

JC Ward - Journal of Oncology Practice, 2014 - researchgate.net
Personalized medicine—the precept that the treatment of disease is most effective when the
definition of both the disease and the treatment is individualized at the patient level—is …

Precision medicine: the future or simply politics?

R Rubin - Jama, 2015 - jamanetwork.com
Barrett Rollins, MD, PhD, chief scien-tific officer at the Dana-Farber Cancer Institute, tells an
anecdote to illustrate the promise of “precision medicine.” A 35-year-old patient at Dana …